Stacy Payne Ardoin

MD | Pediatric Rheumatology | Female

---

Complete Profile:

Stacy Payne Ardoin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Stacy Payne Ardoin
Credential :	MD
Gender :	Female

Business Address:

Stacy Payne Ardoin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	555 S 18th St Columbus, OH, 43205-2654 United States
Phone Number :	614-722-2000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1417971086
NPI Entity Type :	Individual
First Enrolment Date :	27 Jul, 2006
Last Updated On :	22 Feb, 2022

Medicare Participation:

Stacy Payne Ardoin participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4385641430
Medicare Enrollment ID :	I20090319000478
Primary Specialty :	Rheumatology
Medical School :	Ohio State University College Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Stacy Payne Ardoin accepts medicare insurance.

Group Practice Association:

Stacy Payne Ardoin is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stacy Payne Ardoin is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Osu Internal Medicine Llc	5496651408	971	3900 Stoneridge Ln Dublin, OH - 430172288 Ph: 6148895001	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Payne Ardoin are as mentioned. Primary taxonomy code for Stacy Payne Ardoin, MD is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
207RR0500X	Internal Medicine Rheumatology	No	35075002	OH
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	35075002	OH

Legacy Identifiers:

Other legacy medical identifiers of Stacy Payne Ardoin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
H138151	Other	OH	CGS - MEDICARE
H138151-OSU	Other	OH	CGS - MEDICARE
2246608	MEDICAID	OH

Other Practice Locations:

Practice Address	City, State	Phone Number
5675 VENTURE DR, DUBLIN, OH, 43017-2159 United States	DUBLIN, OH	614-722-6200
700 ACKERMAN RD STE 385, (PAA LEASED TO OSU) COLUMBUS, OH, 43202-1524 United States	COLUMBUS, OH	614-947-3700

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	700 Childrens Dr Columbus, OH, 43205-2664 United States
Phone Number :	614-722-2000

Business Location:

Patients can refer following map for directions to Stacy Payne Ardoin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.